相关实验视频
Updated: Jan 11, 2026

12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
19.3K
养老院作为保险公司? 提供者主导的机构特殊需求计划的影响
Amanda C Chen1,2, J Michael McWilliams3,4, Mary Beth Landrum3
1Department of Pharmaceutical and Health Economics, USC Mann School of Pharmacy and Pharmaceutical Sciences, Los Angeles, California, USA.
Health services research
|November 10, 2025
概括
提供者主导的养老院机构特殊需求计划 (I-SNPs) 增加了入学率,减少了住院治疗. 然而,镇静剂的使用增加和压力的发病率引发了质量问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是指老年学的学科.
- 卫生经济学 卫生经济学
背景情况:
- 机构特殊需要计划 (I-SNP) 是针对长期养老院居民量身定制的医疗保险优势计划.
- 提供商主导的I-SNP涉及到养老院和保险公司之间的金融整合或合作伙伴关系.
- 供应商主导的I-SNP的增长需要了解它们对设施级结果的影响.
研究的目的:
- 估计实施提供者主导的I-SNP对养老院招生,利用率和质量指标的影响.
- 分析I-SNP招生份额,住院,药物使用,压力,束,跌倒和死亡率的变化.
主要方法:
- 使用差异差异设计来评估由提供商主导的I-SNP启动的影响.
- 使用了2004-2021年的医疗保险索赔和养老院居民评估数据.
- 分析的重点是医疗保险长期住宿养老院居民,以确定相关的结果.
主要成果:
- 提供商主导的I-SNP安排在四年内使I-SNP入学率增加了17.0个百分点.
- 住院病例减少了1.0个百分点.
- 抗精神病药物和催眠药物的使用分别增加了0.4和0.3个百分点,压力的报告增加了0.4个百分点.
结论:
- 提供者主导的I-SNP将财务风险转移到养老院,可能减少住院治疗.
- 观察到镇静药物使用和压力的增加对护理质量产生了模两可的影响.
- 需要进一步的研究来澄清这些变化是否反映了护理质量或患者敏度的转变.
相关概念视频
Specialized Care Centers and Settings-I
1.4K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
Planning Nursing Care II
3.5K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
3.5K
Planning Nursing Care I
5.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.5K
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Standards of Care I
1.0K
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
1.0K

